Individual
MARIE GRAF IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
924 ALT 19, PALM HARBOR, FL 34683-4337
(727) 773-7268
Mailing address
2744 DEER TRACK WAY, PALM HARBOR, FL 34685-1746
(727) 648-3559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND4995
FL
Other
Enumeration date
08/01/2021
Last updated
09/08/2021
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